Answer this question truthfully
### Question: What are the symptoms of Viral hemorrhagic fever?
### Response: Signs and symptoms may vary according to the disease, but in general, patients with VHF present with:
Abrupt onset of fever Myalgias Prostration Coagulopathy with:
Petechial rash Ecchymoses, sometimes with overt bleeding
Vascular endothelial damage may lead to:
Shock, Pulmonary edema Liver injury
Signs seen with specific viruses may include:
Renal failure (HFRS) Ecchymoses (CCHF) Hearing loss Anasarca Shock in newborns (Lassa fever), and spontaneous abortion (Lassa and lymphocytic choriomeningitis viruses)
Because the incubation period may be as long as 21 days, patients may not develop illness until returning from travel; therefore, a thorough travel and exposure history are critical.